医院船“和谐使命”海外医疗服务中医用耗材科室使用特点分析与思考

Medical consumable requisition duiring“Mission Harmony”overseas medical services on hospital ship:analysis and thinking on the characteristics

目的分析“和谐使命”海外医疗服务及医用耗材领用特点,为今后“和谐使命”海外医疗服务医用耗材筹备提供合理、科学的建议,以科学、合理制订各科室医用耗材领取发放比例。方法回顾性分析“和谐使命-2017”海外医疗服务8个国家及“和谐使命-2018”海外医疗服务10个国家共18个服务站点的医疗服务人次、医用耗材发放数量及发放各科室耗材数量比例特点。结果2次任务共诊疗110983人次,手术治疗587例次,住院治疗454人。出航前的科室展开是医用耗材领用的高峰(43.80%,241543/551510)。基础医用耗材领用主要是在海外医疗服务期间(49.72%,274225/551510),专科医用耗材领用主要是在科室展开期间(11.43%,63046/551510)。科室医用耗材领用主要为门诊中的综合科室(42.39%,233811/551510)、手术室(22.99%,126784/551510)、病房(9.67%,53319/551510)及辅诊科室中的影像科(4.19%,23085/551510)。在科室展开与海外医疗服务期间,综合科室、口腔科、眼科、妇科、检验科、特检室、影像科、消毒供应科、手术室、病房、其他在基础医用耗材与专科医用耗材的领用方面差异均有统计学意义(P均<0.01);科室展开时,综合科室、妇科、检验科、特检室、手术室、病房、其他等主要领用基础医用耗材,口腔科、眼科、影像科、消毒供应科主要领用专科医用耗材;海外医疗服务期间,综合科室、口腔科、眼科、妇科、检验科、特检室、消毒供应科、手术室、病房、其他等主要领用基础医用耗材,影像科主要是领用专科医用耗材。结论不同科室、不同任务阶段科室对医用耗材的领用不同,需加强耗材管理提高耗材领用发放的针对性,各科室医用耗材的领用量及发放比例可为以后任务筹备、领用发放提供参考。

Objective To analyze the characteristics of“Mission Harmony”overseas medical services and medical consumable requisitions,so as to provide reasonable and scientific advice for preparing future“Mission Harmony”overseas medical consumables and to scientifically and reasonably design the proportions of the medical consumable for each department.Methods A retrospective analysis was made on the person times of medical services,medical consumable requisitions and distribution proportion of medical consumable for each department based on“Mission Harmony-2017”overseas medical services in eight countries and“Mission Harmony-2018”overseas medical services at 18 service sites in 10 countries.Results A total of 110983 patients received diagnosis and treatment,587 patients received surgical treatment,and 454 patients were hospitalized during the two missions.Department deployment before departure of the hospital ship was the peak period of medical consumable requisitions(43.80%,241543/551510).The basic medical consumables were mainly applied during the overseas medical services(49.72%,274225/551510).Specialized medical consumables were mainly applied during the department deployment period(11.43%,63046/551510).The medical consumables were mainly applied by the General Department of the Outpatient Department(42.39%,233811/551510),Operation Room(22.99%,126784/551510),and the Ward(9.67%,53319/551510),while Imaging Department was the main auxiliary department to apply(4.19%,23085/551510).During the periods of department deployment and overseas medical services,there were significant differences in basic medical consumables and specialized medical consumables in the General Department,Stomatology Department,Ophthalmology Department,Gynecology Department,Laboratory Department,Special Examination Room,Imaging Department,Sterilization and Supply Department,Operation Room,Ward,and others(all P<0.01).During the department deployment period,the General Department,Gynecology Department,Laboratory Department,Special Examination Room,Operation Room,Ward,and others mainly applied for basic medical consumables,while Stomatology Department,Ophthalmology Department,Imaging Department and Sterilization and Supply Department mainly applied for specialized medical consumables.During the period of overseas medical services,the General Department,Stomatology Department,Ophthalmology Department,Gynecology Department,Laboratory Department,Special Examination Room,Sterilization and Supply department,Operation Room,Ward,and others mainly applied for basic medical consumables,while the Imaging Department mainly applied for specialized medical consumables.Conclusion Different departments have different requisitions on medical consumables at different task stages.It is necessary to strengthen the management of consumables and improve the pertinence of requisition and distribution of consumables.The consumption and distribution proportions of medical consumables in each department can provide reference for the preparation,requisition and distribution for future tasks.